Active NPI
Emmanuella J Isme
- Behavior Analyst
- Killeen, TX
National Provider Identifier
1801562558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 8479
- Practice address
- 3000 Illinois Ave
Killeen, TX 76543-5371 - Phone
- (234) 402-4800
- NPI assigned
- Aug 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 8479 | TX | Primary |
Addresses
Primary practice location
3000 Illinois Ave
Killeen, TX 76543-5371
Mailing address
4003 W Stan Schlueter Loop Ste 201
Killeen, TX 76549-6119
Phone (254) 630-1578
Other practice location 1
4003 W Stan Schlueter Loop Ste 201
Killeen, TX 76549-6119
Phone (254) 630-1578
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8479 | TX | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ayala's Therapist | Behavior Analyst | Current | Accepting new patients |
Locations
4003 W Stan Schlueter Loop
Ste 201
Killeen, TX 76549
Phone (254) 630-1578
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1801562558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4003 W STAN SCHLUETER LOOP STE 201",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765496119",
"telephone_number": "254-630-1578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 ILLINOIS AVE",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765435371",
"telephone_number": "234-402-4800"
}
],
"practiceLocations": [
{
"address_1": "4003 W Stan Schlueter Loop Ste 201",
"address_purpose": "LOCATION",
"city": "Killeen",
"state": "TX",
"postal_code": "765496119",
"country_code": "US",
"telephone_number": "254-630-1578",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISME",
"first_name": "EMMANUELLA",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-20",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "8479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.